University of Twente Student Theses
New European quality indicators on breast cancer calculated for the Dutch setting
Stroop, B and Bult, T.J. (2020) New European quality indicators on breast cancer calculated for the Dutch setting.
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| Abstract: | Objectives: On behalf of the Quality Assurance Scheme Development Group (QASDG) quality indicators have been developed to determine the quality of care for breast cancer patients in Europe. The aim of this study was to calculate the quality indicators for patients with primary invasive and/or in situ breast cancer diagnosed in the Netherlands over the period 2012 to 2018 in order to determine the deviation from the norm, variation between Dutch hospitals, trends over time and to identify the usability and feasibility of the indicators. Materials and methods: Data from the Netherlands Cancer Registry (NCR) was used to calculate the process and outcome indicators. Each indicator included female patients with invasive and/or in situ breast cancer who were aged over 18 years. All patients with prior ipsilateral breast cancer (invasive and/or in situ) were excluded. Quality indicators were calculated by constructing algorithms in STATA. Results on the indicators were presented in a summary table including the mean score and standard deviation over the years for each indicator. In addition, results were illustrated by funnel plots including a 95% confidence interval to represent the trend over time. Results: During the study period, 133.527 patients were diagnosed with primary invasive (n = 109.623) or in situ (n = 23.904) breast cancer in one of the 75 hospitals. On average, Dutch hospitals scored above the norm for twelve indicators and scored below the norm for nine indicators. Three remaining indicators are monitoring indicators without a norm. In general, four indicators showed low variation (average st.dev. ≤5%), thirteen indicators showed middle variation (average st.dev. 5%-15%) and seven indicators showed large variation (average st.dev ≥15%). In total, three indicators showed a decreasing mean score over the years and four indicators showed an increasing mean score over the years. Conclusion: Calculating the indicators provided insights on the quality of breast cancer care in the Netherlands. There are indicators who showed mean scores above the norm and low variation which reflects good quality of care. Other indicators with mean scores below the norm and/or large variation showed that Dutch hospitals should improve on the quality of breast cancer care. Overall, the indicators used are well constructed in order to determine the quality of breast cancer care for the Dutch setting which makes them usable and feasible. |
| Item Type: | Essay (Bachelor) |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine, 50 technical science in general |
| Programme: | Health Sciences BSc (56553) |
| Link to this item: | https://purl.utwente.nl/essays/81599 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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